Individual
ROUKAYATOU SORGHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4015 N 163RD CIR, OMAHA, NE 68116-2979
(402) 906-6818
Mailing address
4015 N 163RD CIR, OMAHA, NE 68116-2979
(402) 906-6818
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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